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- Title
A first reported case of clear cell carcinoma associated with delayed extrusion of midurethral tape.
- Authors
Lin, Harvard; Low, Jeffrey; Ng, Roy; Wu, Fiona; Venkateswaran, Kotamma
- Abstract
We present the first reported case of clear cell carcinoma associated with a midurethral tape (MUT), the possible hypotheses and the management pitfalls we encountered. We report a 58-year-old woman who presented with symptoms of urinary tract infection and acute retention of urine associated with vaginal tape exposure 10 years after placement of an inside-out transobturator tape. She subsequently had a partial transobturator tape excision and a diagnostic cystoscopy, which revealed inflammatory changes within the urethra. Postoperatively, her symptoms persisted and the vaginal epithelium healed poorly. A biopsy of the friable tissue reported clear cell carcinoma. Imaging showed a locally invasive periurethral mass and bony and lymphatic metastases. This was treated with palliative radiation therapy. She was still receiving palliative care 5 months after the initial surgery.
- Subjects
URINARY tract infections; URETHRA; BARRIER contraceptives; CYSTOSCOPY; PATIENTS
- Publication
International Urogynecology Journal, 2016, Vol 27, Issue 3, p377
- ISSN
0937-3462
- Publication type
Article
- DOI
10.1007/s00192-015-2876-5